Kristine Rose

NPI #1548082639 in Eagle, Idaho

Provider Information

NPI Number: 1548082639
Entity Type: Individual
Name: Kristine Rose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 539 S. FITNESS PL.
Address 2: #150
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (805) 750-0323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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